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Musician Web Site - Input Form

Required entries have an asterisk *

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Template Preference:*  (From Sample Pages)   M1   M2   M3   M4

Save $10 yr on your site by authorizing 1 Banner at the bottom of your page

Banner Preference:*   I authorize one banner at the bottom of my website $79.00 yr.

                                                      I do not want any banners on my website.               $89.00 yr.

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FIRST NAME: *    LAST NAME: *

                       Preferred Domain Name  -  http://performers-r-us.com/

                       ie: "saxman", "tbone" etc. - If not filled out I will use your Last Name.

 

Musician Information

Styles Played: *    Select all that apply (Hold down "Ctl" key for multiple choices).

                              

       Instruments Played: *(include vocals, if applicable) 

              

Summary Information / Experience

max 960 Characters (12 Lines) - Add more info in General Info block below.

 

Availability

City *    State / Prov*    Country *

Seeking Full Time Employment:  YES      NO

               Casual / Part time gigs:  YES      NO

         Are you willing to travel?    YES      NO

 

Links - Provide up to 2 sites you would like to link to.

Description:    

Description:    

Contact Information

                    EMAIL:*             PHONE:*                  FAX:    

           Address is optional:  (If you wish to include it - add it to your General Information).

 

General Information

  Use this block to expand on your experience, add reviews / testamonial data, or to define what your gig preferences are .........anything you want to add can go here.

Maximum - (30 lines - 2400 characters)

Please format data as you want it to appear on your web page and check for spelling errors.

Please answer the following question (discourages "Spam" form responses).

What is the opposite of HOT?    

18 Nov 2003

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